UBC's eHealth Strategy Office, Faculty of Medicine Author: Kendall Ho

1. CCME Conference Toronto 2011:
RHYME
Remote Hands-on “Youtube”
Mediated Education
Kendall Ho, MD FRCPC
Associate Professor &
Director, eHealth Strategy Office
eHealth Strategy Office
Northern Medical Program
Centre for Health Education Scholarship
Technology Enabled Learning / MedIT
eHealth Strategy Office

2. Remote Hands-on “YouTube” Mediated Education
RHYME
1. UBC learning context
2. RHYME: purpose & results
3. Next steps
eHealth Strategy Office

3. UBC Faculty of Medicine
• 4 Campuses
FMP NMP
IMP SMP
• Integrated Clerkship
Case mix & exposure
Specialists supervision
Examination tips
• Connecting to peers
Between sites
eHealth Strategy Office

4. UBC Faculty of Medicine
• 4 Campuses
FMP NMP
IMP SMP
• Integrated Clerkship
Case mix & exposure
Specialists supervision
Examination tips
• Connecting to peers
Between sites
eHealth Strategy Office

5. Understanding the Problem
“Feedback
does not capture the
UBC nuances for the exams”
- Medical Student
eHealth Strategy Office

6. Remote Hands-on “YouTube” Mediated
Education (RHYME)
eHealth Strategy Office
• YouTu

7. RHYME: Study Design
• Design based Evaluation
• Students filming each other in tasks: Hx, exams
• Videos sent securely to specialists
• Specialists filmed critiquing videos
• Pair specialist and student videos
• Paired videos sent back to student for review
• Paired videos shared between students
• Secure site for viewing and discussion
eHealth Strategy Office

8. RHYME: Study Design
• Design based Evaluation
• Students filming each other in tasks: Hx, exams
• Videos sent securely to specialists
• Specialists filmed critiquing videos
• Pair specialist and student videos
• Paired videos sent back to student for review
• Paired videos shared between students
• Secure site for viewing and discussion
eHealth Strategy Office

9. RHYME: Feedback
• Students from FSJ & Terrace
 2009-2010: 4 FSJ and 3 Terrace
 2010-2011: 4 FSJ and 3 Terrace
• Videos
 2009-2010: 12 videos
 2010-2011: 48 videos completed so far
eHealth Strategy Office

10. RHYME: Feedback
Students
• Enjoy learning experience
• Feedback is worth the “…always a pleasure
investment of time to watch myself
• Easy technologically awkwardly fumble
– Filming through an abdo exam
on film.”
– Secure video
transfer/upload
• Concerned re: access
• Share with other students
eHealth Strategy Office

11. RHYME: Feedback
Students Internists
• Enjoy learning experience • Conceptually “no brainer”
• Feedback is worth the • Uncomfortable not
investment of time knowing students
• Easy technologically • Own credibility to
– Filming students?
– Secure video • Limited views of
transfer/upload procedures
• Concerned re: access • Guess at students’
• Share with other students thoughts
eHealth Strategy Office

12. Google Analytics
eHealth Strategy Office

13. Google Analytics
eHealth Strategy Office

14. RHYME: Discussion
• Inexpensive and accessible
• Feedback : mentorship and/or assessment?
• Active student engagement
• Technical: firewalls, equipment, training
• Scaling up
• Integrate with curriculum
• Ethical problems (students, patients)
eHealth Strategy Office

15. Next Steps
• Publication: Medical Education (RHIME)
• UBC FoM: Mini-CEX trial
• Expansion: Cowichan ICC program
• UBC Teaching & Learning Education Fund grant
• Formal trial: 2011-2012
• Correlation with performance?
• Technological scale up considerations
eHealth Strategy Office

16. RHYME to RHIME
• Videos to enhance education
• More than just technologies
• Underpinning relationships
• Implementation contexts and
issues
eHealth Strategy Office

17. RHYME TEAM
• Ranvir Bahl • Mohammed Rahman
• Joanna Bates • Nelson Shen
• Jennifer Cordeiro • David Snadden
• Michael Easton • Janice Tian
• Andrea Gingerich • Stephane Voyer
• Kendall Ho • Peter Weerasinghe
• Daniel Hooker • Nancy Zhao
• Sophia Khan
eHealth Strategy Office
• Helen Novak Lauscher

18. eHealth Strategy Office